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J INDIAN SOC PEDOD PREV DENT

Vol. 26

March 2008

No. 1

CONTENTS
Information for Authors .............................................................................................................................................................. 1

Editorial
Fill it, shut it, and forget it!!!
Prof. S. G. Damle ....................................................................................................................................................................... 4

Guest Editorial
Changing attitudes: From isolation to interaction
Prof. Ashok Utreja .................................................................................................................................................... 5

Original Articles
The effect of water purification systems on fluoride content of drinking water
Prabhakar A. R., Raju O. S., Kurthukoti A. J., Vishwas T. D. ................................................................................... 6
Effect of oil pulling on Streptococcus mutans count in plaque and saliva using Dentocult SM Strip mutans test:
A randomized, controlled, triple-blind study
Asokan S., Rathan J., Muthu M.S., Rathna Prabhu V., Emmadi P., Raghuramand, Chamundeswari. .................. 12
Comparison of allele frequency for HLA-DR and HLA-DQ between patients with ECC and caries-free children
Bagherian A., Nematollahi H., Afshari J.T., Moheghi N. ......................................................................................... 18

Case Reports
Witkops tooth and nail syndrome: A multifaceted approach to dental management
Subramaniam P., Neeraja R. .................................................................................................................................. 22
Management of inverted impacted primary incisors: An unusual case
Kapur A., Goyal A., Jaffri S. .................................................................................................................................... 26
Orthodontic uprighting of impacted mandibular permanent second molar: A case report
Reddy S. K., Uloopi K. S., Vinay C., Subba Reddy V. V. ........................................................................................ 29
Greenstick fracture of the mandible: A case report
Kalia V., Singh A. P. .. ............................................................................................................................................ .32
Disappeared roots: A case report
Arathi R., Kundabala M., Karen B.. ......................................................................................................................... 36
Cleidocranial dysplasia: A case report
Hemalatha R., Balasubramaniam M. R. .................................................................................................................. 40
Calendar of Events ................................................................................................................................................ 43
Referees List, 2008 ................................................................................................................................................ 44
The copies of the journal to members of the association are sent by ordinary post. The editorial board, association or publisher will not be
responsible for non-receipt of copies. If any of the members wish to receive the copies by registered post or courier, kindly contact the journals
/ publishers office. If a copy returns due to incomplete, incorrect or changed address of a member on two consecutive occasions, the names
of such members will be deleted from the mailing list of the journal. Providing complete, correct and up-to-date address is the responsibility
of the members. Copies are sent to subscribers and members directly from the publishers address; it is illegal to acquire copies from any
other source. If a copy is received for personal use as a member of the association/society, one cannot resale or give-away the copy for
commercial
or library
use. Dent - March 2008
46
J Indian
Soc Pedod
Prevent

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Guest Editorial

Changing attitudes: From isolation to interaction

With the increasing incidence of malocclusion among growing children, there is also an increasing awareness about orthodontic
treatment. The changing trend among the Indian population is to seek treatment from the specialist dental surgeon rather than
going to the general dental surgeon. As a result, the pediatric dentist is often the first one to be approached for consultation
related to developing malocclusion in children as young as seven years old. With extensive training and experience in handling
children, the pediatric dentist may be the best person to share the responsibility of interceptive and corrective orthodontics.
Treatment of the developing malocclusion in a growing child is important as it not only benefits the child psychosocially but
also normalizes the perioral musculature, which is conducive to the normal growth of the dental arches, jaws and the face.
When left untreated, the malocclusion usually gets complicated and more difficult to treat by conventional means. However,
treating such malocclusions is a challenging task. Habit-breaking appliances and other growth modulation procedures have
an important role in the growing child.
Children with developing incisor crowding or early loss of primary molars may not only require space maintainers but are also
in need of space management which may involve space-holding appliances, space regainers and at times, planned extractions
of primary and permanent teeth (serial extractions). The procedure of serial extraction may appear simple but the decision
to extract permanent teeth is often a very difficult one and requires the experience and expertise, which is obtained after
extensive training. A simple mixed dentition analysis in the growing child is not an appropriate solution to the problem.
Various growth-related changes in the dental arches, soft tissue facial profile and maxillo-mandibular relations are some of
the crucial variables to be taken into consideration. All this requires extensive application of radiographic cephalometrics
and the interpretation of the implications of these measurements during growth. Most of the intercepted malocclusions later
require a finishing phase of comprehensive orthodontic therapy.
It is therefore important that children with developing malocclusion undergo interceptive and limited corrective orthodontic
therapy with the pediatric dentist and the orthodontist, who work in sync and combine their expertise to produce optimum
results. As all dental specialties are expanding the scope of their work, more grey areas have arisen, which must be addressed
by the interaction of specialists rather than in isolation. As we progress, let us change our attitudes and make our actions
patient-centered rather than specialty-centered.

PROF. ASHOK UTREJA, ISDS, MDS

Professor and Chair, Unit of Orthodontics,
Head, Oral Health Sciences Center,
Post Graduate Institute of Medical Education and Research,
Past President, Indian Orthodontic Society,
Indian Society of Cleft lip. Palate and Ganiofacial Orthopedics,
E-mail: ashokutreja@yahoo.com

J Indian Soc Pedod Prevent Dent - March 2008